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1932345139
KEITH M IRWIN
SALEM, OR
NPI
1932345139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2008-12-18
Last Update Date
2008-12-18
Business Address
Mr. KEITH M IRWIN MA, QMHP
2421 LANCASTER DR NE
SALEM, OR 97305-1220
Phone number: 503-361-2706
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Mailing Address
Mr. KEITH M IRWIN MA, QMHP
840 E ST NE
SALEM, OR 97301-1223
Phone number: 503-277-9978
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